DID YOU FEEL IT? REPORT IT HERE!

QUESTIONNAIRE FOR EVENT (NON-US):

40 miles NNW of Buzau, Romania
OCT 27 2004 20:34:37 GMT

- Please make sure you are filling out this form for the right event. -

For other events or historic events, or to view other regions, go to the archives. To report an event not yet in our database, go to the New or unknown event questionnaire.

You can help provide information about the extent of shaking and damage for earthquakes outside the United States. USGS scientists may use the information you enter in this form to provide qualitative, quantitative, or graphical descriptions of damage in USGS publications. If you would object to this possible usage of your data, please do not fill out this form.

Your COUNTRY, REGION, & nearest CITY are REQUIRED! All other identifiers (name, e-mail, phone, and location) are optional, but we need your location to be able to map your intensity observation. The other data may be critical for further resampling, if needed.

Your location when the earthquake occurred. Since you are submitting this form for a new or unknown earthquake, please fill out the following information completely. This will help us accurately locate this event.

Note: This questionnaire is for non-US responses only. If you were in the United States or its territories when you felt this event, please select the appropriate US region here.